IPSA - International Partners for Study Abroad

Study Abroad Program in San Jose, Costa Rica.

Online Secure Application Form.


Part A. Personal data:


Mr/Mrs/Ms/Miss


First Name:


Last Name:


Home Address:

Street Address:


City:


State/Province:


ZIP (Postal) Code:


Country:


Day Telephone Number:


Evening Telephone Number:


E-mail:


Fax: [optional]


Date of Birth: month day year            Male Female

Place of Birth (country, city):   

Citizenship (country):

Passport Number:


Do you need a student visa to study in Costa Rica? yes no


Nationality:


Your native language:


Other languages, if any:


I am currently: a college/university freshman sophomore junior senior
Graduate Student High School Senior Interested Adult Professional

If you are a graduate or undergraduate student, please provide the following information:

Current college/university/graduate school:

My major field of study:       GPA

If you are a professional, please specify your profession and company:

Profession:

Please enter the address of your college, university or company:






Emergency Contact:


Name:


Relationship:


Telephone:


Address:






Part B. Program data.

Which course would you like to study?

Intensive Spanish Course (available for 3, 4, 8, 12, 16, 24 and 36 weeks)



Business Spanish Course

Medical Spanish Course

Individual Spanish Language Training Courses:
      Please enter the specialization you would like to study:
      

       Please enter the number of individual classes per day:        2     3     4     5     6

Study Abroad Programs:

12-week Winter Program

12-week Spring Program

12-week Fall Program

Summer 4 weeks

Summer 5 weeks

Summer 8 weeks

Tropical Ecology Summer Program

Tropical Marine Biology Summer Program

Regular University Semester Program (15 weeks)

Elective Courses Taught in English

Arts & Humanities

First Choice:

ARCH 3112 History of Latin American Architecture and Art - 3 cr.

ARCH 3200 Tropical Architecture and Design - 4 cr.

DNCE 2500 Introduction To Latin American Tropical Dance - 3 cr.

HUM 3300 Central American Art - 3 cr.

HUM 3513 Arts And Humanities: Costa Rica Colloquium - 3 cr.

ETH-3100 Selected Topics In Afro-American Studies - 3 cr.

PHIL 3100 Comparative Classical Philosophy - 4 cr. (Taught in Spanish or English)

PHOT- 2100 Ecological Photography - 3cr.

PHOT 2130 Cultural Photography - 3cr.

HOT 2600 Digital Photography - 3cr. (Taught in Spanish or English)

Second Choice:

ARCH 3112 History of Latin American Architecture and Art - 3 cr.

ARCH 3200 Tropical Architecture and Design - 4 cr.

DNCE 2500 Introduction To Latin American Tropical Dance - 3 cr.

HUM 3300 Central American Art - 3 cr.

HUM 3513 Arts And Humanities: Costa Rica Colloquium - 3 cr.

ETH-3100 Selected Topics In Afro-American Studies - 3 cr.

PHIL 3100 Comparative Classical Philosophy - 4 cr. (Taught in Spanish or English)

PHOT- 2100 Ecological Photography - 3cr.

PHOT 2130 Cultural Photography - 3cr.

HOT 2600 Digital Photography - 3cr. (Taught in Spanish or English)

Business & Economics

B>First Choice:

COMM 3200 Intercultural Communication and Competence - 3cr.

ECON 3403 Introduction To International Economics & Latin American - 3 cr

GEB 3350 Introduction To International Business - 3cr.

GEB 3500 Ecotourism: The Costa Rica Case - 4cr.

MGMT 3021 Logistics Management - 3 cr.

MGMT 3030 Creative Leadership Skills - 3 cr.

Second Choice:

COMM 3200 Intercultural Communication and Competence - 3cr.

ECON 3403 Introduction To International Economics & Latin American - 3 cr

GEB 3350 Introduction To International Business - 3cr.

GEB 3500 Ecotourism: The Costa Rica Case - 4cr.

MGMT 3021 Logistics Management - 3 cr.

MGMT 3030 Creative Leadership Skills - 3 cr.

Environmental Studies:

First Choice:

ENV 3005: Environmental Impact And Social Development 4 cr.

ENV 3044 Tropical Ecology - 4 cr.

ENV 3190 Tropical Marine Biology - 4 cr.

ENV 4040 Environmental Awareness And Sustainable Development - 4 cr.

Second Choice:

ENV 3005: Environmental Impact And Social Development 4 cr.

ENV 3044 Tropical Ecology - 4 cr.

ENV 3190 Tropical Marine Biology - 4 cr.

ENV 4040 Environmental Awareness And Sustainable Development - 4 cr.

History & Politics

First Choice:

HIS 3290 Costa Rican Economic Development-3 cr.

POL 2500 Human Rights in Latin America - 3 cr.

POL 3100 Costa Rican Tradition: Peace and Democracy - 3 cr.

POL 3450 International Relations in Latin America- 3 cr.

Second Choice:

HIS 3290 Costa Rican Economic Development-3 cr.

POL 2500 Human Rights in Latin America - 3 cr.

POL 3100 Costa Rican Tradition: Peace and Democracy - 3 cr.

POL 3450 International Relations in Latin America- 3 cr.

Elective Courses Taught in Spanish

First Choice:

SPN 3020 Lecturas Selectas de la Literatura Latinoamericana-3 cr.

SPN 3050 Fonética y Fonología-3 cr.

SPN 4390 Introducción a la Traducción-3 cr.

SPN 4110 Escritoras contemporáneas costarricenses-3 cr.

SPN 4330 Temas especiales en la Lteratura Española-3 cr.

SPN 4390 El Cine y la Literatura Latinoamericana-3 cr.

SPN 3520 Dialectología Latinoamericana 3 cr.

SPN 3560 Tópicos Selectos en Literatura Comparada-3 cr.

SPN 4330 Redacción Avanzada-3 cr.

Second Choice:

SPN 3020 Lecturas Selectas de la Literatura Latinoamericana-3 cr.

SPN 3050 Fonética y Fonología-3 cr.

SPN 4390 Introducción a la Traducción-3 cr.

SPN 4110 Escritoras contemporáneas costarricenses-3 cr.

SPN 4330 Temas especiales en la Lteratura Española-3 cr.

SPN 4390 El Cine y la Literatura Latinoamericana-3 cr.

SPN 3520 Dialectología Latinoamericana 3 cr.

SPN 3560 Tópicos Selectos en Literatura Comparada-3 cr.

SPN 4330 Redacción Avanzada-3 cr.

When would you like to start your course: (MM-DD-YY)

For how many weeks you want to register: Total Number of weeks:

What is your present level of Spanish?

Beginner
Elementary
Intermediate
Upper-intermediate
Advanced

Comments:





Part C. Accomodations.

Please select the accommodations you prefer:

Host family accommodation with breakfast and dinner

Apartment

Please also fill in below:
Are you a smoker ? yes
no
If you have a special diet, please specify:
If you have allergies, please specify:
If you have other requirements, please specify:





Part C. Payment of Fees:

A non-refundable application fee of US$100 and a tuition deposit of US$300 are required with your application. The tuition deposit is part of the cost of your course and is deducted from the total tuition fees. The tuition deposit is not an additional cost. Please note that your application will be considered only when your payment of the application fee and the tuition deposit has been received.

Upon receiving your application, enrollment fees and the tuition deposit, we will send you a registration confirmation and invoice.

The payment of the balance of fees is due upon receipt of invoice. Your place will be confirmed only when the full payment has been received. The full payment must be paid before we can issue documentation in support of a visa application.

You may pay the balance by wire transfer, check or money order, or by credit card.

Please note that you may apply online only if you pay the enrollment fees and the tuition deposit by credit card.

You can also print out a monospaced printable application form from your browser, fill in your application and send it by post or by fax. If you use the printable application form, you can make your payment of the enrollment fees and deposits by credit card, check or international money order or by wire transfer to our bank account.


Payment by Credit Card

We accept VISA and MasterCard. In this Form, we utilize the Secure Socket Layer (SSL) authentication and RC4 128 bit encryption technology. SSL encryption protects information being transmitted across the internet to our processing center.

Please select payment option below:

Please charge only the application fee of $100 and the tuition deposit of $300 to my credit card provided below.

Please charge the application fee and the full payment to my credit card provided below.

Even if you select a "full payment" option, we will charge only the application fee and the deposit at the time of accepting your application and will process the payment of the balance to your credit card after registering you for the program. Please also note that if you would prefer to pay the balance by credit card, a 4.5% convenience payment processing service fee will be included in the invoice. There are no any additional charges on your payment of the enrollment fees and the tuition deposit by credit card.


To process your payment using Visa or MasterCard, please fill in the fields below with the requested information EXACTLY as it appears on your monthly bankcard statement.

Please select credit card:


Cardnumber:


Expiration Month:


Expiration Year:


Card Verification Value:
The last three digits on the back of your credit card after the credit card number. This value protects you from online fraud by verifying that you are in possession of the card you are attempting to use.


Cardholder Billing Information:

Cardholder Name:


Street Address:


City:


State:


Zip Code:



Please double-check the above credit card information.





Part D. Autobiographical Essay.

Please write a brief essay. This essay must contain a short story of your life and experience, and reasons why you wish to study abroad.






Part E. Agreement and release.

By submitting this Application, I certify the above information is complete and correct. I understand that my misrepresentation may result in my expulsion from the program. I acknowledge that the terms and conditions appearing on the Study Abroad International web site constitute part of my agreement with IPSA and study abroad program host (university, college, language school, or other institution and/or organization), including sections concerning responsibility, health, refunds, changes in dates, accommodations, courses and billing of the selected options; I assume all risks and responsibilities and discharge IPSA and the study abroad program host and all their officers, agents and employees from and against any and all claims of damage to personal property or personal injury which may result from my enrollment and participation in the study abroad program host courses, excursions, and/or on and off-campus activities. I have read all terms and conditions and rules and agree to follow all IPSA and study abroad host procedures and regulations. This Agreement will be effective when my application is accepted by IPSA and shall be governed by the laws of the State of Arizona, USA.

Yes, I agree. I don't agree


Please click on the button to submit the Application: